Individual
LISA RENEE TER HAAR RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06150
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09573025
—
MS
05
—
2121022
—
LA
Enumeration date
08/09/2010
Last updated
01/21/2011
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